traumarns

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1. Nurses taking patient's off backboards without doctor clearnce?

   traumarns replied to the big nurse's topic in Emergency

   "Setting yourself up for a huge liability issue! I hear the word "SUE" really come into play here!!!!!!! Like others have mentioned, the results of a fall, or other injury can be easily seen witht he naked eye, or much more minute. For instance, toda...

2. What is Talent Plus or Top Talent?

   traumarns replied to MaddieRN's topic in General Nursing

   i loved the question "are you a clean person" i answered, "yes, that is why i hire somebody to come to my home once a week and clean up after me" some of the questions i just giggled through, by the end of the process, my interviewer was giggling too...

3. Transport of Tele Patients from the ED

   traumarns replied to Otessa's topic in General Nursing

   our techs who are paramedics or emts with acls, or equivalent go with tele pts anywhere on the monitor. a nurse and tech go to the icu. any intubated sedated pt gets a nurse and a tech.

4. Chief complaints that made you laugh?

   traumarns replied to nickos's topic in General Nursing

   i love my pre-ictal pts, dont like my incarceritis pts and the all time fav tdfd (too drunk for detox)

5. panic-attack reaction to compazine

   traumarns replied to scootermcnutt's topic in Medications

   seen the "heebie jeebies" with comp, phenergan, reglan and low dose inapsine. if somebody has a rx with one of those and has never had the others, i always get order for benadryl, or just zofran. (can give pretty high doses of zofran) when all else ...

6. Nurses taking patient's off backboards without doctor clearnce?

   traumarns replied to the big nurse's topic in Emergency

   our trauma protocol-level 1, must be taken off the backboard within 15 mins of arrival. there are situations when the pt cant come off board wihin that time, ie- 6 alerts and 1 activation all rolling in at the same time. we MUST document when they ...

7. IV insertion area guidelines

   traumarns replied to patwil73's topic in General Nursing

   somebody on levophed should have had a central line. was this in the er, when you dont have time to start the drip while waiting for the doc to put one in. or was this pt in the icu already? if in the icu she SHOULD have had a central line. in the ed...

8. Do you cut off Name Band?

   traumarns replied to nkochrn's topic in General Nursing

   we dont cut the arm bands off. a vast percentage of our pts live outside and need a ride to a shelter. many of the rtd drivers will allow these people to ride for free IF they have an armband on proving they were in the er.

9. How often do EMS crews show up to your dept unannounced?

   traumarns replied to Larry77's topic in Emergency

   we only get ems calls from private companies, trauma alerts/activations. and cardiac/resp arrest. other than that, they just show up. the charge takes a very quick report, and decides triage or bed. the crew then gives the full report (hopefully) to ...

10. Why don't docs send these pt's HOME!?

    traumarns replied to zofran's topic in General Nursing

    .And with the floor leavers -- call the doc and request an order for a dose of narcan after any "unexplained absence" from the floor. You give them narcan, and tell them they'll get it anytime they leave the floor, and presto, they are ready to go h...

11. ? giving small amount of Morphine

    traumarns replied to mamaRN-09's topic in General Nursing

    just a suggestion. why dont you ask pharmacy to stock your pyxis with 4mg morphine. we stock with 2,4, and 10's it makes it so much easier, and dont have to find somebody to waist with.

12. Do you have advice for med students on your floor...

    traumarns replied to Ginger's Person's topic in General Nursing

    1. If the pt is on the gurney naked except for a gown and SHOES- leave the shoes on!!!! there is a reason WHY the shoes are still on. (if you take them off, do NOT leave the room without putting them back on.) 2. if you see a nurse runn...

13. Side effects for abusing fentanyl patches

    traumarns replied to Day83's topic in General Nursing

    took care of young dude who ate a 100 mcg fent patch. did the math it is about 7000 mcg of fent in one sitting. he was found down in his own vomit many hrs later. extremely high dose narcan barely made a dent. he is LUCKY to be alive, although he now...

14. Scan medications in the ER using Meditech and T-system

    traumarns replied to scaredofshots's topic in Emergency

    love t-system hate meditech dont scan meds in the er. worked at a place that used e-mar on the floors and icu none of us wanted it in the er. especially because the hospitals policy had something to do with pharmacy entering all the meds in to the ...

15. An interesting policy

    traumarns replied to Guest219794's topic in Emergency

    I LOVE LOVE LOVE this policy. What would make it absolutely perfect if they would add If you are awake alert oriented x 3 and cannot provide confirmable identification NO NARCS cant tell you how many time i saw pt A on monday night at one hospital, a...